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<table width="150" border="0" align="center">
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    <td align="center" valign="middle" bgcolor="#66CCFF"><img src="Encabezado.png" width="383" height="88" /></td>
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    <td align="center" bgcolor="#66CCFF"><strong>GENERAR REPORTE ORDEN DE SERVICIO</strong></td>
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    <td bgcolor="#66CCFF"><form id="form1" name="form1" method="post" action="">
      <table width="597" border="0" align="center">
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          <td colspan="7">DATOS DE CLIENTE</td>
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          <td width="59">&nbsp;</td>
          <td colspan="6" align="center"><input type="submit" name="button2" id="button2" value="Buscar Cliente" />
            <input type="submit" name="button3" id="button3" value="Buscar por Fecha" /></td>
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        <tr>
          <td>Cliente</td>
          <td colspan="5"><label for="textfield"></label>
            <input type="text" name="textfield" id="textfield" /></td>
          <td width="160">Fecha 
            <label for="textfield3"></label>
            <input name="textfield3" type="text" id="textfield3" size="12" /></td>
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          <td>Num ID</td>
          <td colspan="6"><label for="textfield2"></label>
            <input type="text" name="textfield2" id="textfield2" /></td>
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          <td colspan="6">DATOS DE ORDEN DE SERVICIO</td>
          <td><input type="submit" name="button" id="button" value="Buscar Orden de Servicio" /></td>
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          <td colspan="7"><table width="592" height="63" border="1" align="center">
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              <td align="center" bgcolor="#CCCCCC">Orden Serv.</td>
              <td align="center" bgcolor="#CCCCCC">Origen</td>
              <td align="center" bgcolor="#CCCCCC">Destino</td>
              <td align="center" bgcolor="#CCCCCC">Fecha Despacho</td>
              <td align="center" bgcolor="#CCCCCC">Transporte</td>
              <td align="center" bgcolor="#CCCCCC">Fecha Venc.</td>
              <td align="center" bgcolor="#CCCCCC">Estado </td>
              <td align="center" bgcolor="#CCCCCC">Importe</td>
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              <td bgcolor="#FFFFFF">&nbsp;</td>
              <td bgcolor="#FFFFFF">&nbsp;</td>
              <td bgcolor="#FFFFFF">&nbsp;</td>
              <td bgcolor="#FFFFFF">&nbsp;</td>
              <td bgcolor="#FFFFFF">&nbsp;</td>
              <td bgcolor="#FFFFFF">&nbsp;</td>
              <td bgcolor="#FFFFFF">&nbsp;</td>
              <td bgcolor="#FFFFFF">&nbsp;</td>
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          </table></td>
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          <td>Pendiente</td>
          <td width="144"><label for="textfield4"></label>
            <input type="text" name="textfield4" id="textfield4" /></td>
          <td width="65">Importe Cancelado</td>
          <td width="144"><label for="textfield6"></label>
            <input type="text" name="textfield6" id="textfield6" /></td>
          <td colspan="3">Total:
            <label for="textfield7"></label>
            <input name="textfield7" type="text" id="textfield7" size="10" /></td>
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          <td>Saldo</td>
          <td><label for="textfield5"></label>
            <input type="text" name="textfield5" id="textfield5" /></td>
          <td colspan="2">&nbsp;</td>
          <td colspan="3">I.G.V.:
            <label for="textfield8"></label>
            <input name="textfield8" type="text" id="textfield8" size="10" /></td>
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          <td colspan="7">&nbsp;</td>
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          <td colspan="7" align="center">Condición Cliente
            <label for="textfield9"></label>
            <input type="text" name="textfield9" id="textfield9" /></td>
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          <td colspan="7">Observaciones:</td>
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          <td colspan="7" align="center"><label for="textarea"></label>
            <textarea name="textarea" id="textarea" cols="62" rows="5"></textarea></td>
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          <td colspan="7" align="center"><input type="submit" name="button4" id="button4" value="Generar Informe" />
            <input type="submit" name="button5" id="button5" value="Cancelar" /></td>
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      </table>
    </form></td>
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</table>
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